Dr Iain Duncan
lateral epicondylitis

Lateral Epicondylitis: A Therapy Update

Background  Definition: Lateral epicondylitis is a common, painful condition characterized by pain at the lateral side of the elbow, that increases during gripping or squeezing. Though sometimes referred to as “tennis elbow” it occurs mostly in middle aged adults regardless of sporting activity.  Light microscopy reveals both an excess of fibroblasts and blood vessels that […]

PRP (platelet rich plasma) injections for osteoarthritis

Iain Duncan February 2016 I understand the rationale and use of platelet rich plasma (PRP) for tendon problems but I am continually asked about PRP injections for osteoarthritis.  It is less intuitive than its use for tendon pathologies, where the PRP can be seen to simulate a normal healing response. PRP is not “normal” in joints […]

Injection therapies for plantar fasciopathy (‘plantar fasciitis’): a systematic review and network meta-analysis of 22 randomised controlled trials

Konstantinos Tsikopoulos, Haris S Vasiliadis and Dimitris Mavridis. Abstract Objective To compare the efficacy of different injection therapies for plantar fasciopathy (historically known as ‘plantar fasciitis’). Design Systematic review and network meta-analysis. Data sources Electronic databases (MEDLINE, CENTRAL, Web of Science and Scopus) were searched up to 11 July 2015 for completed studies. Eligibility criteria for selecting […]

Caution about Steroid Injections before total hip replacement

This abstract reproduced courtesy of The Journal of Arthroplasty. The Timing of Total Hip Arthroplasty After Intraarticular Hip Injection Affects Postoperative Infection Risk Brian C. Werner, MD, Jourdan M. Cancienne, MD, James A. Browne, MD Department of Orthopaedic Surgery, University of Virginia Health System, Box 800159, Charlottesville, Virginia   DOI: http://dx.doi.org/10.1016/j.arth.2015.08.032 Background The data regarding any association […]

Association of Vitamin D With Stress Fractures: A Retrospective Cohort Study

Jason R. Miller, Karl W, Dunn, Louis J. Ciliberti Jr., Rikhil D. Patel, Brock A. Swanson. Published in The Journal of Foot & Ankle Surgery 2016, Feb (55): 117-120. Vitamin D is an essential, fat-soluble nutrient that is a key modulator of bone health. Despite the gaining popularity throughout published medical studies, no consensus has […]

PRP therapy for tendinopathies and tendon tears

Iain Duncan October 2015 PRP (platelet-rich plasma) therapies have been used for over a decade for a whole number of clinical problems (see PRP wikipedia entry). PRP is blood plasma that has been enriched with platelets and contains (and releases through degranulation) several different growth factors and other cytokines that stimulate healing of bone and soft tissue. […]